TAKISHA CLARK

BINGHAMTON, NY
NPI1043182934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  978966)
Enumeration Date2025-09-19
Last Update Date2025-09-19
Business Address
TAKISHA CLARK
425 ROBINSON ST
BINGHAMTON, NY 13904-1735
Phone number: 607-724-1391
Mailing Address
TAKISHA CLARK
4965 STONEBROOKE DR
VALDOSTA, GA 31605-1226
Phone number: